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Pharmacy Coordinator

Spectraforce Technologies
United States, North Carolina, Raleigh
500 West Peace Street (Show on map)
Jul 08, 2025
Position Title: Pharmacy Coordinator Work Location: Remote - Sourced Nationally (EST candidates preferred) Assignment Duration: 6 months Work Schedule: Monday-Friday, 8:30-9 AM start (8-hour workday) Work Arrangement: Remote Position Summary: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Key Responsibilities: Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process Performs other duties as assigned Complies with all policies and standards Qualification & Experience: High school diploma or equivalent 3+ years of pharmacy experience, preferably in a managed care environment Medicare and/or Medicaid experience preferred Pharmacy Technician license and PTCB certification preferred (or ability to obtain within 30 days) Previous experience in call center or fast-paced pharmacy with multi-line phone systems preferred Advanced Microsoft Office skills preferred (Excel, Word, Teams, Outlook) Excellent verbal and written communication skills